Active NPI
Karen McMenimen, CNM
- Advanced Practice Midwife
- Minneapolis, MN
National Provider Identifier
1174599971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 10925
- Practice address
- 606 24TH Ave S
Suite 700
Minneapolis, MN 55454-1455 - Phone
- (612) 672-2450
- NPI assigned
- Feb 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 10925 | MN | Primary |
Addresses
Primary practice location
606 24TH Ave S
Suite 700
Minneapolis, MN 55454-1455
Mailing address
606 24TH Ave S
Suite 700
Minneapolis, MN 55454-1455
Phone (612) 672-2450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10925 | MN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341878400000",
"number": "1174599971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 24TH AVE S",
"address_2": "SUITE 700",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554541455",
"telephone_number": "612-672-2450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 24TH AVE S",
"address_2": "SUITE 700",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554541455",
"telephone_number": "612-672-2450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMENIMEN",
"first_name": "KAREN",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-23",
"last_updated": "2012-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MN",
"license": "10925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.